Individual
DR. RADHA KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
294 MERRIMAC CT, STE 294, PRINCE FREDERICK, MD 20678-4110
(410) 535-2332
(410) 535-6922
Mailing address
10223 BRITTENFORD DR, VIENNA, VA 22182-1867
(703) 405-7833
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11601
MD
Other
Enumeration date
05/24/2005
Last updated
07/08/2007
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